RESIDENTIAL PROPERTY
OWNER STATEMENT OF SELF DECLARATION
1. TIN#
2. House #( If Applicable)
3. OWNER ADDRESS
4. PROPERTY OWNER’S NAME
County
Street
Last Name
District
House #
First Name
Town/City
Telephone #
5. DECLARED PREPERTY VALUE (USD OR ITS EQUIVALENT)
TAX RATE
X
1/12%
TAX AMOUNT PER REAR
=
DECLARED PROPERTY VALUE IS MULTIPLIED BY THE RESIDENTIAL TAX RATE OF 1/12% TO DETERMINE THE
ANNUAL TAX DUE
6. LOCATION OF PROPERTY
County
Community
District
Street
Town/City
House #
Landmark (use recognized building in your area)
7. PROPERTY DESCRIPTION
Please Indicate number of each kind below
Bed Room
Porch
Bathroom
Story(ies)
Windows
Garage
Shop/Store
Please check type of windows
Sliding Glass
Jalousie
Awning
Columbo Blocks (onnc.)
8. CARETAKER’S/OCCUPANT’S NAME
`
Please check relevant boxes below:
FOUNDATION
WALL
Reinforced conc.
Reinforced conc.
Column/Frame Structure
Firestone bricks
None
Cement Block
Zinc
ROOF
Wooden Frame
Metal sheets
Mud bricks
Aluminum sheets
FLOOR
Asbestos
Marble tile
Concrete
Rubber tile
Terrazzo tile
Ceramic tile
Other Description
9. CONTACT
Telephone #:
Email:
10. DATE/YEAR OF CONSTRUCTION
11. CURRENT CONDITION
Damage:
12. SIGNATURE OF OWNER/CARETAKER & DATE
Under Renovation (minor repairs)
Reconstruction (minor repairs )
Fair
Good
Very good
NOTE: Amount of declaration may be subject to review. Significant under-declaration is subject to additional assessment bill. Taxpayers
are advice to provide Truthful Declaration.
TAXES ARE ON JULY 1ST OF THE YEAR IN WHICH IT IS LEVIED.
PROPERTY OWNER’S SCHEDULE
NAME:
HOME ADDRESS:
WORK ADDRESS:
TELEPHONE #:
EMAIL ADDRESS:
NO.
LOCATION
DESCRIPTION
AREA LOT NO.
CLASSIFICATION (CHECK BELOW)
PURCHASE/CONSTRUCTION
COST
OWNERSHIP
TENANT (IF
APPLICABLE
ANNUAL RENT
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
Please add additional page if you have more properties then the number of spaces provided
State owner’s name9s), if property is being leased by you
Signature of property owner/LPA
Date
R
For Residential Building
I
For Industrial Complex
C
For Residential Building
VL
For Vacant Land
FL
For Commercial Farmland
THE LAW
Section 2004. Real Property Owners to file Schedules property. Every person who acquired title to real property subject to assessment and taxation the under chapter, within thirty days after the effective
date of this Section or within thirty days after acquisition, as the case may be, shall file in the nearest LRA office where such property is located a correct and specific schedule of all such real property
acquired by him. Such schedule shall contain a complete description of the real property, including in location, area lot number, designation, if any use classification and the actual consideration paid on its
acquisition. This is the Law: failure to do so is punishable by 10% additional payment to be increased by 5% monthly Section 51 (b-1)
PROPERTY LEDGER CARD
1.
3.
PROPERTY OWNER’S NAME(S)
2.
OWNER’S ADDRESS(ES)
COUNTY
COMMUNITY
DISTRICT
STREET
TOWN/CITY
TELEPHONE #
LOCATION OF PROPERTY
COUNTY
TOWN/CITY
DISTRICT
COMMUNITY
LANDMARK (Use recognizable building/junction where property is located)
4.
PROPERTY DESCRIPTION
DATE OF CONSTRUCTION/
ACQUISITION
ZONE NO.
YEAR
BILLING INFORMATION
ASSESSED VALUE
TAX RATE
AMOUNT OF
TAX
DOCUMENTATION CHECKLIST
PROPERTY SCHEDULE SUBMITTED
CERTIFIED DECLARATION SUBMITTED
DECLARATION FORM FILLED
PHOTO OF PROPERTY ATTACHED
SELF-DECLARED
ARREARS
TOTAL TAX
DUE
BLOCK NO.
BILLING DATE
PAYMENT RECORD
AMOUNT PAID
PAYMENT
DATE
NAME OF FIRM (IF APPRAISAL SUBMITTED)
COMMENTS:
RECEIPT NO.
BALANCE DUE